Severe croup — DipIMC MCQ

Correct answer: A — Nebulised adrenaline with urgent transfer and senior support

Option A is correct because Severe croup with stridor at rest may require nebulised adrenaline plus urgent monitored transfer. Option B is less appropriate because that dose is an ALS cardiac-arrest dose and is unsafe for this non-arrest indication; option C is less appropriate because aspirin is useful in ACS but inappropriate for this presentation. Option E is less appropriate because untitrated opioid dosing can cause avoidable hypotension or respiratory depression; option D is less appropriate because steroids have delayed onset and should not replace the immediate treatment. Clinical pearl: in DipIMC-style questions, the best answer is the intervention that changes outcome earliest in the pre-hospital phase.

Reference: JRCALC Guidelines